Oakley, CA · Contra Costa County
Licensed Contractors Declaration
Licensed contractors complete this declaration for work covered by a City of Oakley permit, providing license and workers’ compensation information.
What this form is
This declaration records a contractor’s affirmation that their license is current and identifies their workers’ compensation coverage or exemption. It also asks about construction lending and includes statements about the signer’s authority, the accuracy of the information, code compliance, and property inspections. Complete it for the work covered by the permit and sign and date it.
Who needs it
A licensed contractor performing work covered by a City of Oakley permit should complete the declaration and provide the requested coverage and lending information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; its workers’ compensation and construction-lending declarations are made under penalty of perjury, and the signer dates the signature.
How to submit this form
- 1
Download The Form
Download the Licensed Contractors Declaration PDF.
- 2
Complete The Declaration
Provide the requested license, workers’ compensation, and construction-lending information, and complete the signer statements.
- 3
Sign And Date
Sign and date the form. The declarations include statements made under penalty of perjury.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Licensed Contractors Declaration?
- It is a City of Oakley form for permit work. It asks the contractor to affirm their license status and provide workers’ compensation and construction-lending information.
- Who completes this declaration?
- A licensed contractor performing work covered by a permit completes the form. The signer also confirms their authority, information accuracy, and agreement to comply with applicable requirements.
- Do I need a notary for the Licensed Contractors Declaration?
- No. The form is signed without a notary. Its workers’ compensation and construction-lending declarations are made under penalty of perjury, and the signer dates the signature.
- How do I submit the Licensed Contractors Declaration?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Licensed Contractors Declaration doesn’t need a notary — but if you have another Oakley form that does, a commissioned online notary can help.